PCN Pharmacist Independent Prescriber

Job description Job responsibilities Structured Medication reviewsFrail elderly patient with problematic Polypharmacy, renal and/ or hepatic impairmentPatients on high-risk medicinesSTOPP/START identified patientsRevolving door Hospital admissionLTC: Diabetes, Hypertension, Asthma, COPDcontraceptionLearning Disability reviewsRheumatoid arthritis reviewsMusculoskeletal pain management, e.g. osteoarthritisOngoing care of defined conditions, e.g. eczema, psoriasis, irritable bowel syndrome (IBS)Contribute to multimorbidity reviews and multidisciplinary reviewsManagement of common/minor/self- limiting ailmentsManaging caseload for patients with common/minor/self-limiting ailments while working within a scope of practice and limits of competence.Signposting to community pharmacy and referring to GPs or other healthcare professionals where appropriateRepeat PrescribingProduce and implement robust systems for repeat prescribingSupport the management of repeat prescribing reauthorization process by reviewing complex patient requests for repeat prescriptions and reviewing medicines overdue a reviewCoordinate with patients and community pharmacies as appropriateManagement of medicines at discharge from hospitalTo reconcile medicines following discharge from hospitals, intermediate care and into care homesPerform a clinical medication review, produce a post discharge medicines care plan including dose titration and booking of follow up tests and working with patients and community pharmacists to ensure patients receive the medicines they need post dischargeRisk Management and Patient SafetyResponsible for high risk drug monitoringResponsible for design, development, and implementation of system searches to identify cohorts of patients at high risk of harm from medicines.Increase quality and safety of prescribing through mechanisms such as audit and PDSA cyclesImplement drug withdrawals and alerts e.g. MHRA aimed at improving medicines safetyMedicine information to practice sta and patientsDeal will all medication queries fromFrom patients, community pharmacy, secondary careFrom admin staffFrom clinicians

Act as a source of medicines information for the practice team and patients (e.g. around doses, side effects, adverse events, possible alternatives for out of stocks).Care Quality CommissionProvide leadership to the general practice teams to ensure practices are compliant with CQC standards where medicines are involved.Undertake risk assessment and management and ensure compliance with medicines legislation.Public healthTo contribute to public health campaigns, including u vaccinations, and adult immunisation programmesMedicines quality improvementIdentify medicine-related areas of care (including using software tools) to improve patient safety and use of medicinesConduct medicine-related audits, significant event audit and complaint review.Contribute to medicine-related complaint response letters as appropriateLead on use of TARGET toolkit for antimicrobial stewardship.Lead on stopping over-medication of people with a learning disability, autism, or both (STOMP) and people with dementia.Medicines safetyIdentify national and local policy and guidance that affects patient safety using medicines, including MHRA alerts, product withdrawals and emerging evidence form clinical trials.Manage the process of implementing changes to medicines and guidance for practitioners.